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Listeria Monocytogenes Infection (Listeriosis) Treatment & Management

  • Author: Karen B Weinstein, MD, FACP; Chief Editor: Burke A Cunha, MD  more...
 
Updated: Jun 29, 2015
 

Medical Care

Intravenous antibiotics must be started immediately when the diagnosis is suspected or confirmed.

Diagnosis is established by culture of the organism from blood, CSF, or other sterile body fluid.

Person-to-person transmission does not occur; therefore, isolation precautions are not necessary.

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Surgical Care

There have been case reports of L monocytogenes –associated bone and joint infections, but information is scarce. A 2012 retrospective study of 43 patients found that osteoarticular listeriosis primarily involves prosthetic joints and occurs in immunocompromised patients. In cases of periprosthetic joint infection, optimal therapy includes surgical removal of the prosthetic joint.[12]

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Consultations

Listeriosis may be sporadic or may be part of a larger epidemic. The table below lists some of the most recent epidemics. Consultation with an infectious disease specialist or an epidemiologist is important when epidemic listeriosis is suspected.

Table. Epidemic Listeriosis (Open Table in a new window)

YearLocationSource
2014United StatesPrepackaged caramel apples
2011United StatesCantaloupe
2007MassachusettsMilk
2003United KingdomSandwiches
2002[13] United States (nationwide)Delicatessen turkey breast
August 1998 to January 1999Multiple states in the United StatesHot dogs, deli meats
1997[3] ItalyCorn
1997[14] SwedenRainbow trout
1995[15] SwitzerlandSoft cheese
1994[16] IllinoisChocolate milk
1992[17] FranceRillettes (pork product)
1985[18] CaliforniaMexican-style soft cheese
1983[19] New EnglandUnpasteurized milk
1981[20] CanadaColeslaw
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Contributor Information and Disclosures
Author

Karen B Weinstein, MD, FACP Associate Professor, Department of Internal Medicine, Rush University Medical Center

Karen B Weinstein, MD, FACP is a member of the following medical societies: Alpha Omega Alpha, American College of Physicians-American Society of Internal Medicine, Illinois State Medical Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Joseph F John, Jr, MD, FACP, FIDSA, FSHEA Clinical Professor of Medicine, Molecular Genetics and Microbiology, Medical University of South Carolina College of Medicine; Associate Chief of Staff for Education, Ralph H Johnson Veterans Affairs Medical Center

Joseph F John, Jr, MD, FACP, FIDSA, FSHEA is a member of the following medical societies: Charleston County Medical Association, Infectious Diseases Society of America, South Carolina Infectious Diseases Society

Disclosure: Nothing to disclose.

Chief Editor

Burke A Cunha, MD Professor of Medicine, State University of New York School of Medicine at Stony Brook; Chief, Infectious Disease Division, Winthrop-University Hospital

Burke A Cunha, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, Infectious Diseases Society of America

Disclosure: Nothing to disclose.

Additional Contributors

Mark R Wallace, MD, FACP, FIDSA Clinical Professor of Medicine, Florida State University College of Medicine; Clinical Professor of Medicine, University of Central Florida College of Medicine

Mark R Wallace, MD, FACP, FIDSA is a member of the following medical societies: American College of Physicians, American Medical Association, American Society for Microbiology, Infectious Diseases Society of America, International AIDS Society, Florida Infectious Diseases Society

Disclosure: Nothing to disclose.

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Electron micrograph of an artificially colored Listeria bacterium in tissue.
Table. Epidemic Listeriosis
YearLocationSource
2014United StatesPrepackaged caramel apples
2011United StatesCantaloupe
2007MassachusettsMilk
2003United KingdomSandwiches
2002[13] United States (nationwide)Delicatessen turkey breast
August 1998 to January 1999Multiple states in the United StatesHot dogs, deli meats
1997[3] ItalyCorn
1997[14] SwedenRainbow trout
1995[15] SwitzerlandSoft cheese
1994[16] IllinoisChocolate milk
1992[17] FranceRillettes (pork product)
1985[18] CaliforniaMexican-style soft cheese
1983[19] New EnglandUnpasteurized milk
1981[20] CanadaColeslaw
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Next
 
 
 
 
 
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